WlsJenny2012

I just visited my surgeon's office this past week and they will be submitting the weight they took this week to insurance. I still have to get my sleep apnea test (8/30) and stress test (have an appt with my PCP on 9/6 for a referral). It is now my understanding that any weight loss between now and insurance submission will NOT impact the decision. This is such a relief, I can start incorporating many of the changes I know I will have to make!

The 4 co-morbidities are: Clinically significant obstructive sleep apnea (i.e., person meets the criteria for treatment of obstructive sleep apnea set forth in CPB 0004 - Obstructive Sleep Apnea in Adults); or Coronary heart disease; or Medically refractory hypertension (blood pressure greater than 140 mmHg systolic and/or 90 mmHg diastolic despite concurrent use of 3 anti-hypertensive agents of different classes); or Type 2 diabetes mellitus Here is a link to the Aetna policy, when I called and talked to a representative, she sent me to this link: http://www.aetna.com/cpb/medical/data/100_199/0157.html

I am in a similar situation. I have Aetna and started my 3 month pre-surgical program on July 5th. My BMI was 39.8 on July 5th and I do not have one of the 4 co-morbidities that Aetna lists (I have an appointment with a sleep apnea doctor on 8/13 to get tested). I am currently at 40 BMI and I plan to stay at this level until we submit for insurance approval at the end of the 3 month period. I am so worried that I will not get approved! I wish you the best of luck!